Individual
CELESTE POWELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
836 SEWANEE PL, SHREVEPORT, LA 71105-2246
(318) 469-4468
Mailing address
616 COOK RD, ATHENS, LA 71003-4007
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT.Z11758
LA
Other
Enumeration date
09/18/2023
Last updated
09/18/2023
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